NPIMap

Individual provider Active NPI

Laura Washington, MD

  • Family Medicine Physician
  • Amory, MS
National Provider Identifier
1093721151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15059 Issued in MS
Practice address
806 Earl Frye Blvd
Amory, MS 38821-5505
Phone
(662) 597-9000
Fax
(662) 257-2083
NPI assigned
Jul 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15059 MS Primary

Addresses

Primary practice location

806 Earl Frye Blvd
Amory, MS 38821-5505

Mailing address

806 Earl Frye Blvd
Amory, MS 38821-5505
Phone (662) 597-9000

Other identifiers 1

IdentifierTypeStateIssuer
117187MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000537 MS Practitioner - Family PracticePractitioner - Addiction Medicine 1254348774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

200 State Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15059MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jan 1, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Jan 1, 2019 Accepting new patients
Pathway Healthcare- Columbus, Ms LLC PastSince Dec 1, 2017 Accepting new patients
Amory Primary Medicine Clinic Past Accepting new patients
Baptist Memorial Hospital Union County, Inc. Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

1506 Highway 278 E
Ste A
Amory, MS 38821
Phone (662) 597-2019

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

Interoperability endpoints

  • Direct secure messaging: lwashington15159@direct.bmhcc.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093721151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215505",
            "telephone_number": "662-597-9000",
            "fax_number": "662-257-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215505",
            "telephone_number": "662-597-9000",
            "fax_number": "662-257-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117187",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.